Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $553.79 / $4,311.00	Facility		$80.29	$553.79	$4,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $118.19 / $239.54	Professional		$80.29	$118.19	$239.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $110.99 / $155.88	Professional		$110.99	$110.99	$155.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $197.14 / $293.11	Professional		$114.13	$197.14	$293.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $606.10	Facility		$606.10	$606.10	$606.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $151.66 / $274.20	Professional		$100.44	$151.66	$274.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $135.05 / $189.48	Facility		$80.29	$135.05	$189.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $154.00	Professional		$142.00	$142.00	$154.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $125.30 / $186.71	Professional		$73.63	$125.30	$186.71
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.35 / $155.47 / $281.08	Professional		$100.35	$155.47	$281.08
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $389.60 / $389.60	Facility		$55.00	$389.60	$389.60
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $572.88 / $695.40 / $1,032.00	Professional		$572.88	$695.40	$1,032.00